TBI

Question 1

Glasgow Coma Scale (Eye Response)

Answer 1

4= Eyes open spontaneously
3=eyes open to speech
2=eyes opening in response to pain
1=no eye opening

Question 2

Glasgow Coma Scale (Verbal Response)

Answer 2

5= oriented (time, place, name, date)
4=confused (responds to questions but some confusion)
3=inappropriate words (random speech, no conversation)
2= incomprehensible sounds
1=no verbalization

Question 3

Glasgow Coma Scale (Motor Response)

Answer 3

6=obeys commands
5= localized to pain (puposeful movement towards chnaging painful stimuli)
4= withdraws from pain
3=flexion in response to pain
2=extension in response to pain
1= no pain response

Question 4

Glasgow Coma Scale Scores

Answer 4

Highest is 15 (fully concious)
Lowest is 3 (deep coma)
Severe TBI <8
Moderate TBI 9-12
Mild TBI >13

Question 5

Level I Ranchos Los Amigos

Answer 5

Total Assistance
No Response

Question 6

Level II Ranchos Los Amigos

Answer 6

generalized response: total assistance
Same response no matter the stimulus

Question 7

Level III Ranchos Los Amigos

Answer 7

Localized response: total assistance
May be able to track objects or lights moving in room
inconsistently follows simple commands

Question 8

Level IV Ranchos Los Amigos

Answer 8

Confused, agitated: Maximal Assistance
alert, heightened state
disoriented, may crawl out of bed or pull at tubes
can complete very simple repetitive tasks (throw and catch the ball) for a short period
unable to cooperate with treatment

Question 9

Level V Ranchos Los Amigos

Answer 9

Confused, inappropriate, non-agitated: Maximal Assistance
wandering, inappropriate use of objects
very vague attention
performs highly familiar tasks with max assist and cueing

Question 10

Level VI Ranchos Los Amigos

Answer 10

Confused, appropriate: moderate assistance
awareness and attention increase
up to 30 minutes of attention for highly familiar tasks
emerging awareness of self and others
consistently follows simple directions

Question 11

Level VII Ranchos Los Amigos

Answer 11

Automatic Appropriate: Minimal Assistance
NEW LEARNING OCCURS
able to monitor accuracy and modify activities with minimal assist
Unrealistic plans or goals
Decreased awareness in social contexts

Question 12

Level VIII Ranchos Los Amigos

Answer 12

Purposeful Appropriate: SBA
Attends to a task for an hour even if distractions are present
uses assistive memory aids with little to no assistance
low frustration tolerance

Question 13

Level IX Ranchos Los Amigos

Answer 13

Purposeful Appropriate: SBA, as requested

Question 14

Level X Ranchos Los Amigos

Answer 14

Purposeful Appropriate: MI

Question 15

Concussion

Answer 15

Mild TBI
GCS 13-15

Question 16

Manifestation for Concussion Diagnosis

Answer 16

any loss of consciousness for up to 30 minutes
post traumatic amnesia lasting no longer than 24 hours
Any mental state alteration at time of accident
Transient neuro abnormalities

Question 17

Post-concussion syndrome

Answer 17

Symptoms that may continue for weeks or years after a concussion
Further eval needed past OT: PT, neuro, vestibular, speech